Gavin F Chico is a Specialist in Shreveport, Louisiana. Gavin F Chico practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gavin F Chico is 1740261650. The last update date is 2021-03-17.
Gavin F Chico's current location address is Po Box 53032, Shreveport, Louisiana. You can contact this provider via phone number 3189322081 and fax number 3189322215. The mailing address for Gavin F Chico is Po Box 53032, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gavin F Chico |
|---|---|
| Address | Po Box 53032, Shreveport, Louisiana |
| Phone Number | 3189322081 |
| Fax Number | 3189322215 |
| Sole Proprietor | Y |
| Credentials | M. D. |
NPI Number Detail
| NPI Number | 1740261650 |
|---|---|
| Provider Enumeration Date | 2005-11-08 |
| Last Updated Date | 2021-03-17 |
Provider Mailing Address Detail
| Address | Po Box 53032 |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711353032 |
| Phone Number | 3189322081 |
| Fax Number | 3189322215 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 11956R |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00814514 | LA | RR MEDICARE NUMBER | |
| 1699799 | LA | -- |
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What is the unique identification code assigned to Gavin F Chico by the Centers for Medicare & Medicaid Services?
The Gavin F Chico has been issued the NPI (National Provider Identifier) 1740261650. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is Gavin F Chico's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gavin F Chico's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did Gavin F Chico receive its 1740261650 assignment from the Centers for Medicare & Medicaid Services?
The Gavin F Chico was assigned its 1740261650 on 2005-11-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1740261650 to Gavin F Chico?
The Centers for Medicare & Medicaid Services assigned the 1740261650 to Gavin F Chico on 2005-11-08.
When was the information related to Gavin F Chico most recently updated or refreshed?
The details pertaining to the Gavin F Chico, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-03-17.
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